ABSTRACT
Osteoid osteoma localised in the scapula are very rare. We report the case of an 11-year-old girl, who presented with an osteoid osteoma at the neck of the glenoid. This was excised en bloc after being located accurately by computed tomography. This case report demonstrates the difficulty in the approach to the excision of this unusually located lesion.
Subject(s)
Bone Neoplasms/surgery , Osteoma, Osteoid/surgery , Scapula/surgery , Child , Female , Humans , Tomography, X-Ray ComputedABSTRACT
Seventeen consecutive patients with Grade IIIB open tibial fractures had definitive treatment of both the fracture and soft tissues performed within 72 h of injury. Free tissue transfer was used for cover in each case. There were no cases of deep infection. Flap survival was 100 per cent. The mean time to fracture healing was 10 months, and mean time to walking unaided was 12 months. The average length of stay in hospital was 82 days. The findings suggest that immediate radical debridement followed by adequate soft tissue cover is a safe and effective method for treating these severe injuries.
Subject(s)
Fractures, Open/surgery , Surgical Flaps , Tibia/surgery , Tibial Fractures/surgery , Adolescent , Adult , Aged , Bone Plates , Female , Follow-Up Studies , Fracture Fixation, Internal/methods , Fractures, Open/diagnostic imaging , Fractures, Open/pathology , Humans , Male , Middle Aged , Radiography , Soft Tissue Injuries/diagnostic imaging , Soft Tissue Injuries/pathology , Soft Tissue Injuries/surgery , Tibia/diagnostic imaging , Tibial Fractures/diagnostic imaging , Tibial Fractures/pathologyABSTRACT
The AO interlocking nail was introduced to the Ulster Hospital, Dundonald in 1988 and since then has been used in over 50 patients with femoral shaft fractures. We have reviewed 45 patients with 46 femoral shaft fractures treated between June 1988 and April 1990. These included four compound fractures and 13 comminuted fractures. The results compare favourably with other series. The union rate was 98% and there were no instances of deep infection. The alternative treatment methods available are discussed along with a review of the relevant literature.
